IRS Form 941
Form 941 is used by employers to report the applying entity’s federal withholding on a quarterly basis. It is used by PPP lenders to verify payroll expenses and must account for a continuous year of information (last 4 quarters).
The form_type
parameter TAX_941
for the Upload PDF endpoint is required for this Form Type.
Optional fields captured
Configuration-driven output
All fields below are optionally captured, depending on your order form. To adjust fields captured, please speak with your Ocrolus Account Manager.
JSON attribute | Data type | Description |
---|---|---|
| Text | Numerical description of the Form's pre-printed year, e.g. "2020" for a 2020 Q1 form. |
| Text | Official name of the applying entity |
| Text | "Doing business As" or other trade name affiliated with applying entity |
| Text | Street address of the entity |
| Text | Office number or suite number of the applying entity |
| Text | City of applying entity |
| Text | State the applying entity resides in, Formatted as a 2 character state code |
| Text | 5 digit zip code in which applying entity resides |
| Text | Default |
| Text | Default |
| Text | Default |
| Text | 9 digit string representing applying entity's tax ID |
|
| Quarter from which this tax document applies |
| Text | Number of people employed by applying entity |
| Total amount in wages paid out by applying entity to employees for the quarter | |
| Entity's quarterly federal income tax withheld amount | |
|
| Default |
| Entity's quarterly taxable Social Security wages | |
| Entity's quarterly taxable Social Security wages | |
| Entity's quarterly taxable Social Security tips | |
| Entity's taxable Social Security tips | |
| Entity's taxable Medicare wages | |
| Entity's taxable Medicare wages | |
| Entity's taxable wages and tips | |
| Entity's taxable wages and tips | |
| Calculated Field leveraging 5a-5d | |
| Entity's taxes due on unreported tips | |
| Entity's total taxes before adjustments | |
| Current quarter adjustments for Entity | |
| Sick pay adjustments | |
| Tips and group term adjustments | |
| Calculated field leveraging line6-line9 | |
| Entity's federal small business payroll tax credits | |
| Calculated field between line11, line12 | |
| Entity's total deposits for the quarter | |
| Calculated field between line12, line13 | |
|
| Entity's over payment of taxes, if applicable |
| Default | |
|
| Deposit schedule information |
| Entity's tax liability for first month of quarter | |
| Entity's tax liability for second month of quarter | |
| Entity's tax liability for third month of quarter | |
| Entity's aggregate liability for the quarter | |
|
| Entity's Business Information |
| Date applying entity stopped paying wages. | |
|
| If applying entity is a seasonal business |
|
| Third Party Designee |
| Text | 5 digit pin of designee |
| Text | Designated employee name |
| Text | Designated employee phone number. Formatted (XXX) XXX-XXXX |
| Text | Best phone number to reach designated employee. Formatted (XXX) XXX-XXXX |
| Text | Entity's Signatory |
| Text | Title of Signatory |
|
| "SIGNED" / "NOT SIGNED" determine if a signature was found on the application |
| Date of the Entity's signatory's signature | |
| Text | Address of tax document preparer |
| Text | City of tax document preparer |
| Text | State in which the tax document preparer resides. Formatted 2 character state code |
| Text | 5 digit zip code of preparer's address |
|
| If preparer of tax document is self employed |
| Text | Preparer's EIN |
| Text | Firm that employs the tax document preparer |
| Text | Name of the individual preparing this tax document |
| Text | Phone number of preparer. Formatted (XXX) XXX-XXXX |
| Text | |
|
| "SIGNED" / "NOT SIGNED" determine if a signature was found on the application |
| Date of the tax document preparer's signature. | |
| Text | 9 digit Employee identification number |
| Text | Number representing dollar value of payment |
| Text | Number representing cent value of payment |
|
| Quarter for which this voucher applies |
| Text | Address of voucher holder company |
| Text | City of voucher holder company |
| Text | State in which voucher holder resides |
| Text | 5 digit ZIP code of voucher company |
| Text | Business Name of voucher holder |
Sample form
The below Ocrolus sample PDF (input) matches the below sample JSON result (output).
Sample JSON result
{
"form_type": "TAX_941",
"pk": 4580798,
"form_config_pk": 1390,
"raw_fields": {
"tax_941-General:taxFormYear": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "2020"
},
"tax_941-General:employerIdentificationNumber(Ein)": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "12-3456789"
},
"tax_941-General:name": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "OCROLUS INC."
},
"tax_941-General:tradeName": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-General:address:numberAndStreet": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "101 GREENWICH STREET"
},
"tax_941-General:address:suiteOrRoomNumber": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-General:address:city": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NEW YORK"
},
"tax_941-General:address:state": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NY"
},
"tax_941-General:address:zip": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "10006"
},
"tax_941-General:address:foreignCountryName": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-General:address:foreignProvince/Country": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-General:address:foreignPostalCode": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-General:reportForTheQuarterOf2020": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "1 JANUARY, FEBRUARY, MARCH"
},
"tax_941-Part1:line1": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "100"
},
"tax_941-Part1:line2": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "1000000.00"
},
"tax_941-Part1:line3": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "180000.00"
},
"tax_941-Part1:line4": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NOT CHECKED"
},
"tax_941-Part1:line5A:column1": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "1000000.00"
},
"tax_941-Part1:line5A:column2": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "124000.00"
},
"tax_941-Part1:line5B:column1": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "1000000.00"
},
"tax_941-Part1:line5B:column2": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "124000.00"
},
"tax_941-Part1:line5C:column1": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "1000000.00"
},
"tax_941-Part1:line5C:column2": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "29000.00"
},
"tax_941-Part1:line5D:column1": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "1000000.00"
},
"tax_941-Part1:line5D:column2": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "9000.00"
},
"tax_941-Part1:line5E": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "286000.00"
},
"tax_941-Part1:line5F": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "0.00"
},
"tax_941-Part1:line6": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "466000.00"
},
"tax_941-Part1:line7": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "0.00"
},
"tax_941-Part1:line8": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "0.00"
},
"tax_941-Part1:line9": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "0.00"
},
"tax_941-Part1:line10": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "466000.00"
},
"tax_941-Part1:line11": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "0.00"
},
"tax_941-Part1:line12": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "466000.00"
},
"tax_941-Part1:line13": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "0.00"
},
"tax_941-Part1:line14": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "466000.00"
},
"tax_941-Part1:line15:checkOne": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "APPLY TO NEXT RETURN"
},
"tax_941-Part1:line15:overpayment": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075247,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "0.00"
},
"tax_941-Part2:line16:checkOne": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "YOU WERE A MONTHLY SCHEDULE DEPOSITOR FOR THE ENTIRE QUARTER"
},
"tax_941-Part2:line16-TaxLiability:month1": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "90000.00"
},
"tax_941-Part2:line16-TaxLiability:month2": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "90000.00"
},
"tax_941-Part2:line16-TaxLiability:month3": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "90000.00"
},
"tax_941-Part2:totalLiabilityForQuarter": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "460000.00"
},
"tax_941-Part3:line17-BusinessHasClosedOrYouStoppedPayingWages": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NOT CHECKED"
},
"tax_941-Part3:line17-FinalDateYouPaidWages": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part3:line18-SeasonalEmployee": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NOT CHECKED"
},
"tax_941-Part4:designeeIrsPin": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part4:doYouWantToAllowAnEmployee": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NO"
},
"tax_941-Part4:designeeNameAndPhoneNumber:name": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part4:designeeNameAndPhoneNumber:phoneNumber": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:bestDaytimePhone": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "(646) 850-9090"
},
"tax_941-Part5:name": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "SIGNATOR"
},
"tax_941-Part5:title": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "VP FINANCE"
},
"tax_941-Part5:signature": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NOT SIGNED"
},
"tax_941-Part5:signatureDate": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Name": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-FirmName(OrYoursIfSelf-Employed)": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Address:adress": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Address:city": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Address:state": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Address:zip": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-CheckIfYouAreSelfEmployed": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Ein": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Phone": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Ptin": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-Part5:preparer-Signature": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NOT SIGNED"
},
"tax_941-Part5:preparer-SignatureDate": {
"alias_used": null,
"is_empty": true,
"page_doc_pk": 63075245,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": ""
},
"tax_941-941-V:line1-EmployerIdentificationNumber(Ein)": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "123456789"
},
"tax_941-941-V:line2-AmountOfYourPayment:dollars": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "90000"
},
"tax_941-941-V:line2-AmountOfYourPayment:cents": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "00"
},
"tax_941-941-V:line3-TaxPeriod": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "1ST QUARTER"
},
"tax_941-941-V:line4-BusinessName": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "OCROLUS INC"
},
"tax_941-941-V:line4-Address:address": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "101 GREENWICH STREET"
},
"tax_941-941-V:line4-Address:city": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NEW YORK"
},
"tax_941-941-V:line4-Address:state": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "NY"
},
"tax_941-941-V:line4-Address:zip": {
"alias_used": null,
"is_empty": false,
"page_doc_pk": 63075248,
"source_filename": "Sample 941 - Ocrolus Sample.pdf",
"value": "10006"
}
},
"tables": []
}
Updated 2 months ago